Can Ultherapy Be Used Directly Under the Eye? Are There Alternatives?

Ultherapy can be safely and effectively used
under the eyes as long as it is on the bone. For the skin immediately under
the lash line Ultherapy is not advised and erbium or CO2 lasers typically work
best to tighten up the loose skin in this area. Other treatments to
consider could be Botox. It’s difficult to say without a photo which treatment
would be most appropriate for you, so my advice is to visit a board-certified
dermatologist for an in-person consultation to come up with a custom treatment
plan.

Newer modalities are being developed with Ulthera to treat thinner areas of skin. Experience is necessary to treat the lid-cheek junction.  We often use Ulthera in combination with Sculptra to treat the delicate areas around the lower eyelids. Best, Dr. Karamanoukian

Ultherapy utilizing 1.5mm transducer is perfect for eyelid laxity and wrinkles without any downtime (unless there is rare incidence of bruising). The alternatives are laser resurfacing and/or hyaluronic acid filler injection; however, specific recomendation should be made in person by your dermatologist or plastic surgeon.

You can treat the area under the eye but not right up to the lower lid. The treatment needs to be kept outside of the orbit of the eye. At this time the most shallow depth Ulthera goes to is 1.5mm which is great for treating the texture under the eyes. Botox is great for preventing under eye wrinkles. 

Ultherapy works very well for facial rejuvenation by lifting and they have manufactured a newer smaller transducer but I have not found it very convenient to use in the infraorbital area.  I prefer Thermage and Pelleve for tightening in these areas. Wrinkles can also be treated with Fraxel laser and Portrait Plasma resurfacing but there is downtime with the latter more than the former.  Crows feet, not under th eyelid wrinkles, can be treated well with Botox or Dysport and now Xeomin.

I have been using Ulthera treatment for tightening of the lower lids for over a year with good results.  The effect is more a firming of contour than an elimination of wrinkles.  The new 1.5mm transducer is more effective for wrinkle reduction and allows treatment closer to the lid margin.  In patients where wrinkles are the predominant problem, however, skin resurfacing may be a more effective option.

Ultherapy technically can not be performed directly under the eyes, because the handpiece is not perfectly designed for eye area skin.
I recommend Thermage for tightening and lifting the eyelid, the depth and size of the eye tip is perfectly designed for the eye.

Yes, Ulthera can be used directly under the eyes. It is great for fine lines, wrinkles and puffiness. Ultherapy is a safe, non-surgical ultrasound treatment that counteracts the effects of time and gravity on your skin. It uses the body’s own regenerative response to gently and gradually lift skin on the eyebrow, under the chin and on the neck, and smooth lines and wrinkles on the décolletage. The only non-invasive treatment cleared by the FDA to actually lift skin. Ultherapy is also the only cosmetic procedure to use ultrasound imaging, which allows practitioners to see the layers of tissue targeted during the treatment to ensure the energy is deposited to where it will be most beneficial. With the addition of the new Ultherapy® Décolletage Treatment, Ultherapy is also now the only non-invasive procedure specifically indicated by the FDA to improve lines and wrinkles on the chest.

Thank you for the question. Ulthera can be used under the eyelid but it always depends on the patient and their specific needs.  That being said, the treatment does not replace a blepharoplasty or eyelid surgery. Schedule a consultation with a board-certified plastic surgeon to decide what your best options are.

Ultherapy can safely be used under the eye to reduce fine to
subtle lines.
Laser and
hyaluronic dermal fillers are a wonderful compliment to Ultherapy. It is best
consult your physician on the best treatment plan that fit your ultimate goals
and expectations.